4 | 8 | | AN ACT |
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5 | 9 | | relating to court-ordered mental health services. |
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6 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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7 | 11 | | SECTION 1. Section 137.008(a), Civil Practice and Remedies |
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8 | 12 | | Code, is amended to read as follows: |
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9 | 13 | | (a) A physician or other health care provider may subject |
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10 | 14 | | the principal to mental health treatment in a manner contrary to the |
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11 | 15 | | principal's wishes as expressed in a declaration for mental health |
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12 | 16 | | treatment only: |
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13 | 17 | | (1) if the principal is under an order for temporary or |
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14 | 18 | | extended mental health services under Section 574.034, 574.0345, |
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15 | 19 | | [or] 574.035, or 574.0355, Health and Safety Code, and treatment is |
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16 | 20 | | authorized in compliance with Section 574.106, Health and Safety |
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17 | 21 | | Code; or |
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18 | 22 | | (2) in case of an emergency when the principal's |
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19 | 23 | | instructions have not been effective in reducing the severity of |
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20 | 24 | | the behavior that has caused the emergency. |
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21 | 25 | | SECTION 2. Article 16.22, Code of Criminal Procedure, is |
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22 | 26 | | amended by amending Subsection (c) and adding Subsections (c-1), |
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23 | 27 | | (c-2), and (c-3) to read as follows: |
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24 | 28 | | (c) After the trial court receives the applicable expert's |
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25 | 29 | | written assessment relating to the defendant under Subsection (b-1) |
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26 | 30 | | or elects to use the results of a previous determination as |
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27 | 31 | | described by Subsection (a)(2), the trial court may, as applicable: |
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28 | 32 | | (1) resume criminal proceedings against the |
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29 | 33 | | defendant, including any appropriate proceedings related to the |
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30 | 34 | | defendant's release on personal bond under Article 17.032 if the |
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31 | 35 | | defendant is being held in custody; |
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32 | 36 | | (2) resume or initiate competency proceedings, if |
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33 | 37 | | required, as provided by Chapter 46B [or other proceedings |
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34 | 38 | | affecting the defendant's receipt of appropriate court-ordered |
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35 | 39 | | mental health or intellectual disability services, including |
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36 | 40 | | proceedings related to the defendant's receipt of outpatient mental |
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37 | 41 | | health services under Section 574.034, Health and Safety Code]; |
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38 | 42 | | (3) consider the written assessment during the |
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39 | 43 | | punishment phase after a conviction of the offense for which the |
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40 | 44 | | defendant was arrested, as part of a presentence investigation |
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41 | 45 | | report, or in connection with the impositions of conditions |
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42 | 46 | | following placement on community supervision, including deferred |
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43 | 47 | | adjudication community supervision; [or] |
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44 | 48 | | (4) refer the defendant to an appropriate specialty |
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45 | 49 | | court established or operated under Subtitle K, Title 2, Government |
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46 | 50 | | Code; or |
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47 | 51 | | (5) if the offense charged does not involve an act, |
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48 | 52 | | attempt, or threat of serious bodily injury to another person, |
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49 | 53 | | release the defendant on bail while charges against the defendant |
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50 | 54 | | remain pending and enter an order transferring the defendant to the |
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51 | 55 | | appropriate court for court-ordered outpatient mental health |
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52 | 56 | | services under Chapter 574, Health and Safety Code. |
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53 | 57 | | (c-1) If an order is entered under Subsection (c)(5), an |
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54 | 58 | | attorney representing the state shall file the application for |
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55 | 59 | | court-ordered outpatient services under Chapter 574, Health and |
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56 | 60 | | Safety Code. |
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57 | 61 | | (c-2) On the motion of an attorney representing the state, |
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58 | 62 | | if the court determines the defendant has complied with appropriate |
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59 | 63 | | court-ordered outpatient treatment, the court may dismiss the |
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60 | 64 | | charges pending against the defendant and discharge the defendant. |
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61 | 65 | | (c-3) On the motion of an attorney representing the state, |
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62 | 66 | | if the court determines the defendant has failed to comply with |
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63 | 67 | | appropriate court-ordered outpatient treatment, the court shall |
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64 | 68 | | proceed under this chapter or with the trial of the offense. |
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65 | 69 | | SECTION 3. Section 55.13(d), Family Code, is amended to |
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66 | 70 | | read as follows: |
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67 | 71 | | (d) After conducting a hearing on an application under this |
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68 | 72 | | section, the juvenile court shall: |
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69 | 73 | | (1) if the criteria under Section 574.034 or 574.0345, |
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70 | 74 | | Health and Safety Code, are satisfied, order temporary mental |
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71 | 75 | | health services for the child; or |
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72 | 76 | | (2) if the criteria under Section 574.035 or 574.0355, |
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73 | 77 | | Health and Safety Code, are satisfied, order extended mental health |
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74 | 78 | | services for the child. |
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75 | 79 | | SECTION 4. Section 55.38(b), Family Code, is amended to |
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76 | 80 | | read as follows: |
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77 | 81 | | (b) After conducting a hearing under Subsection (a)(2), the |
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78 | 82 | | juvenile court shall: |
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79 | 83 | | (1) if the criteria under Section 574.034 or 574.0345, |
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80 | 84 | | Health and Safety Code, are satisfied, order temporary mental |
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81 | 85 | | health services; or |
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82 | 86 | | (2) if the criteria under Section 574.035 or 574.0355, |
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83 | 87 | | Health and Safety Code, are satisfied, order extended mental health |
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84 | 88 | | services. |
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85 | 89 | | SECTION 5. Section 55.57(b), Family Code, is amended to |
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86 | 90 | | read as follows: |
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87 | 91 | | (b) After conducting a hearing under Subsection (a)(2), the |
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88 | 92 | | juvenile court shall: |
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89 | 93 | | (1) if the criteria under Section 574.034 or 574.0345, |
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90 | 94 | | Health and Safety Code, are satisfied, order temporary mental |
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91 | 95 | | health services; or |
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92 | 96 | | (2) if the criteria under Section 574.035 or 574.0355, |
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93 | 97 | | Health and Safety Code, are satisfied, order extended mental health |
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94 | 98 | | services. |
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95 | 99 | | SECTION 6. Subchapter B, Chapter 22, Government Code, is |
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96 | 100 | | amended by adding Section 22.1106 to read as follows: |
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97 | 101 | | Sec. 22.1106. JUDICIAL INSTRUCTION RELATED TO |
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98 | 102 | | COURT-ORDERED OUTPATIENT MENTAL HEALTH SERVICES. The court of |
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99 | 103 | | criminal appeals shall ensure that judicial training related to |
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100 | 104 | | court-ordered outpatient mental health services is provided at |
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101 | 105 | | least once every year. The instruction may be provided at the |
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102 | 106 | | annual Judicial Education Conference. |
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103 | 107 | | SECTION 7. Section 501.057(b), Government Code, is amended |
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104 | 108 | | to read as follows: |
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105 | 109 | | (b) Not later than the 30th day before the initial parole |
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106 | 110 | | eligibility date of an inmate identified as mentally ill, an |
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107 | 111 | | institutional division psychiatrist shall examine the inmate. The |
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108 | 112 | | psychiatrist shall file a sworn application for court-ordered |
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109 | 113 | | temporary mental health services under Chapter 574, Health and |
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110 | 114 | | Safety Code, if the psychiatrist determines that the inmate is |
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111 | 115 | | mentally ill and as a result of the illness the inmate meets at |
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112 | 116 | | least one of the criteria listed in Section 574.034 or 574.0345, |
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113 | 117 | | Health and Safety Code. |
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114 | 118 | | SECTION 8. Section 574.002(c), Health and Safety Code, is |
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115 | 119 | | amended to read as follows: |
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116 | 120 | | (c) Any application must contain the following information |
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117 | 121 | | according to the applicant's information and belief: |
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118 | 122 | | (1) the proposed patient's name and address; |
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119 | 123 | | (2) the proposed patient's county of residence in this |
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120 | 124 | | state; |
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121 | 125 | | (3) a statement that the proposed patient is a person |
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122 | 126 | | with mental illness and meets the criteria in Section 574.034, |
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123 | 127 | | 574.0345, [or] 574.035, or 574.0355 for court-ordered mental health |
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124 | 128 | | services; and |
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125 | 129 | | (4) whether the proposed patient is charged with a |
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126 | 130 | | criminal offense. |
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127 | 131 | | SECTION 9. Section 574.031, Health and Safety Code, is |
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128 | 132 | | amended by adding Subsections (d-1) and (d-2) to read as follows: |
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129 | 133 | | (d-1) In a hearing for temporary inpatient or outpatient |
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130 | 134 | | mental health services under Section 574.034 or 574.0345, the |
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131 | 135 | | proposed patient or the proposed patient's attorney, by a written |
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132 | 136 | | document filed with the court, may waive the right to cross-examine |
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133 | 137 | | witnesses, and, if that right is waived, the court may admit, as |
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134 | 138 | | evidence, the certificates of medical examination for mental |
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135 | 139 | | illness. The certificates admitted under this subsection |
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136 | 140 | | constitute competent medical or psychiatric testimony, and the |
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137 | 141 | | court may make its findings solely from the certificates. If the |
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138 | 142 | | proposed patient or the proposed patient's attorney does not waive |
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139 | 143 | | in writing the right to cross-examine witnesses, the court shall |
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140 | 144 | | proceed to hear testimony. The testimony must include competent |
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141 | 145 | | medical or psychiatric testimony. |
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142 | 146 | | (d-2) In a hearing for extended inpatient or outpatient |
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143 | 147 | | mental health services under Section 574.035 or 574.0355, the court |
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144 | 148 | | may not make its findings solely from the certificates of medical |
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145 | 149 | | examination for mental illness but shall hear testimony. The court |
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146 | 150 | | may not enter an order for extended mental health services unless |
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147 | 151 | | appropriate findings are made and are supported by testimony taken |
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148 | 152 | | at the hearing. The testimony must include competent medical or |
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149 | 153 | | psychiatric testimony. |
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150 | 154 | | SECTION 10. The heading to Section 574.034, Health and |
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151 | 155 | | Safety Code, is amended to read as follows: |
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152 | 156 | | Sec. 574.034. ORDER FOR TEMPORARY INPATIENT MENTAL HEALTH |
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153 | 157 | | SERVICES. |
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154 | 158 | | SECTION 11. Sections 574.034(g) and (h), Health and Safety |
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155 | 159 | | Code, are amended to read as follows: |
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156 | 160 | | (g) An order for temporary inpatient [or outpatient] mental |
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157 | 161 | | health services shall provide for a period of treatment not to |
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158 | 162 | | exceed [state that treatment is authorized for not longer than] 45 |
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159 | 163 | | days, except that the order may specify a period not to exceed 90 |
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160 | 164 | | days if the judge finds that the longer period is necessary. |
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161 | 165 | | (h) A judge may not issue an order for temporary inpatient |
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162 | 166 | | [or outpatient] mental health services for a proposed patient who |
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163 | 167 | | is charged with a criminal offense that involves an act, attempt, or |
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164 | 168 | | threat of serious bodily injury to another person. |
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165 | 169 | | SECTION 12. Subchapter C, Chapter 574, Health and Safety |
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166 | 170 | | Code, is amended by adding Section 574.0345 to read as follows: |
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167 | 171 | | Sec. 574.0345. ORDER FOR TEMPORARY OUTPATIENT MENTAL HEALTH |
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168 | 172 | | SERVICES. (a) The judge may order a proposed patient to receive |
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169 | 173 | | court-ordered temporary outpatient mental health services only if: |
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170 | 174 | | (1) the judge finds that appropriate mental health |
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171 | 175 | | services are available to the proposed patient; and |
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172 | 176 | | (2) the judge or jury finds, from clear and convincing |
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173 | 177 | | evidence, that: |
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174 | 178 | | (A) the proposed patient is a person with severe |
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175 | 179 | | and persistent mental illness; |
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176 | 180 | | (B) as a result of the mental illness, the |
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177 | 181 | | proposed patient will, if not treated, experience deterioration of |
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178 | 182 | | the ability to function independently to the extent that the |
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179 | 183 | | proposed patient will be unable to live safely in the community |
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180 | 184 | | without court-ordered outpatient mental health services; |
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181 | 185 | | (C) outpatient mental health services are needed |
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182 | 186 | | to prevent a relapse that would likely result in serious harm to the |
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183 | 187 | | proposed patient or others; and |
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184 | 188 | | (D) the proposed patient has an inability to |
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185 | 189 | | participate in outpatient treatment services effectively and |
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186 | 190 | | voluntarily, demonstrated by: |
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187 | 191 | | (i) any of the proposed patient's actions |
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188 | 192 | | occurring within the two-year period that immediately precedes the |
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189 | 193 | | hearing; or |
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190 | 194 | | (ii) specific characteristics of the |
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191 | 195 | | proposed patient's clinical condition that significantly impair |
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192 | 196 | | the proposed patient's ability to make a rational and informed |
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193 | 197 | | decision whether to submit to voluntary outpatient treatment. |
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194 | 198 | | (b) To be clear and convincing under Subsection (a)(2), the |
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195 | 199 | | evidence must include expert testimony and evidence of a recent |
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196 | 200 | | overt act or a continuing pattern of behavior that tends to confirm: |
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197 | 201 | | (1) the deterioration of ability to function |
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198 | 202 | | independently to the extent that the proposed patient will be |
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199 | 203 | | unable to live safely in the community; |
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200 | 204 | | (2) the need for outpatient mental health services to |
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201 | 205 | | prevent a relapse that would likely result in serious harm to the |
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202 | 206 | | proposed patient or others; and |
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203 | 207 | | (3) the proposed patient's inability to participate in |
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204 | 208 | | outpatient treatment services effectively and voluntarily. |
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205 | 209 | | (c) An order for temporary outpatient mental health |
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206 | 210 | | services shall state that treatment is authorized for not longer |
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207 | 211 | | than 45 days, except that the order may specify a period not to |
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208 | 212 | | exceed 90 days if the judge finds that the longer period is |
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209 | 213 | | necessary. |
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210 | 214 | | (d) A judge may not issue an order for temporary outpatient |
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211 | 215 | | mental health services for a proposed patient who is charged with a |
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212 | 216 | | criminal offense that involves an act, attempt, or threat of |
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213 | 217 | | serious bodily injury to another person. |
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214 | 218 | | SECTION 13. The heading to Section 574.035, Health and |
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215 | 219 | | Safety Code, is amended to read as follows: |
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216 | 220 | | Sec. 574.035. ORDER FOR EXTENDED INPATIENT MENTAL HEALTH |
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217 | 221 | | SERVICES. |
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218 | 222 | | SECTION 14. Sections 574.035(d), (h), and (i), Health and |
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219 | 223 | | Safety Code, are amended to read as follows: |
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220 | 224 | | (d) The jury or judge is not required to make the finding |
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221 | 225 | | under Subsection (a)(4) [or (b)(2)(F)] if the proposed patient has |
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222 | 226 | | already been subject to an order for extended mental health |
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223 | 227 | | services. |
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224 | 228 | | (h) An order for extended inpatient [or outpatient] mental |
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225 | 229 | | health services must provide for a period of treatment not to exceed |
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226 | 230 | | [shall state that treatment is authorized for not longer than] 12 |
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227 | 231 | | months. [The order may not specify a shorter period.] |
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228 | 232 | | (i) A judge may not issue an order for extended inpatient |
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229 | 233 | | [or outpatient] mental health services for a proposed patient who |
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230 | 234 | | is charged with a criminal offense that involves an act, attempt, or |
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231 | 235 | | threat of serious bodily injury to another person. |
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232 | 236 | | SECTION 15. Subchapter C, Chapter 574, Health and Safety |
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233 | 237 | | Code, is amended by adding Section 574.0355 to read as follows: |
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234 | 238 | | Sec. 574.0355. ORDER FOR EXTENDED OUTPATIENT MENTAL HEALTH |
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235 | 239 | | SERVICES. (a) The judge may order a proposed patient to receive |
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236 | 240 | | court-ordered extended outpatient mental health services only if: |
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237 | 241 | | (1) the judge finds that appropriate mental health |
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238 | 242 | | services are available to the proposed patient; and |
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239 | 243 | | (2) the judge or jury finds, from clear and convincing |
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240 | 244 | | evidence, that: |
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241 | 245 | | (A) the proposed patient is a person with severe |
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242 | 246 | | and persistent mental illness; |
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243 | 247 | | (B) as a result of the mental illness, the |
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244 | 248 | | proposed patient will, if not treated, experience deterioration of |
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245 | 249 | | the ability to function independently to the extent that the |
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246 | 250 | | proposed patient will be unable to live safely in the community |
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247 | 251 | | without court-ordered outpatient mental health services; |
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248 | 252 | | (C) outpatient mental health services are needed |
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249 | 253 | | to prevent a relapse that would likely result in serious harm to the |
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250 | 254 | | proposed patient or others; |
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251 | 255 | | (D) the proposed patient has an inability to |
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252 | 256 | | participate in outpatient treatment services effectively and |
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253 | 257 | | voluntarily, demonstrated by: |
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254 | 258 | | (i) any of the proposed patient's actions |
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255 | 259 | | occurring within the two-year period that immediately precedes the |
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256 | 260 | | hearing; or |
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257 | 261 | | (ii) specific characteristics of the |
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258 | 262 | | proposed patient's clinical condition that significantly impair |
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259 | 263 | | the proposed patient's ability to make a rational and informed |
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260 | 264 | | decision whether to submit to voluntary outpatient treatment; |
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261 | 265 | | (E) the proposed patient's condition is expected |
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262 | 266 | | to continue for more than 90 days; and |
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263 | 267 | | (F) the proposed patient has received: |
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264 | 268 | | (i) court-ordered inpatient mental health |
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265 | 269 | | services under this subtitle or under Subchapter D or E, Chapter |
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266 | 270 | | 46B, Code of Criminal Procedure, for a total of at least 60 days |
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267 | 271 | | during the preceding 12 months; or |
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268 | 272 | | (ii) court-ordered outpatient mental |
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269 | 273 | | health services under this subtitle or under Subchapter D or E, |
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270 | 274 | | Chapter 46B, Code of Criminal Procedure, during the preceding 60 |
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271 | 275 | | days. |
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272 | 276 | | (b) The jury or judge is not required to make the finding |
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273 | 277 | | under Subsection (a)(2)(F) if the proposed patient has already been |
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274 | 278 | | subject to an order for extended mental health services. |
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275 | 279 | | (c) To be clear and convincing under Subsection (a)(2), the |
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276 | 280 | | evidence must include expert testimony and evidence of a recent |
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277 | 281 | | overt act or a continuing pattern of behavior that tends to confirm: |
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278 | 282 | | (1) the deterioration of the ability to function |
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279 | 283 | | independently to the extent that the proposed patient will be |
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280 | 284 | | unable to live safely in the community; |
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281 | 285 | | (2) the need for outpatient mental health services to |
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282 | 286 | | prevent a relapse that would likely result in serious harm to the |
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283 | 287 | | proposed patient or others; and |
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284 | 288 | | (3) the proposed patient's inability to participate in |
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285 | 289 | | outpatient treatment services effectively and voluntarily. |
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286 | 290 | | (d) An order for extended outpatient mental health services |
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287 | 291 | | must provide for a period of treatment not to exceed 12 months. |
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288 | 292 | | (e) A judge may not issue an order for extended outpatient |
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289 | 293 | | mental health services for a proposed patient who is charged with a |
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290 | 294 | | criminal offense that involves an act, attempt, or threat of |
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291 | 295 | | serious bodily injury to another person. |
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292 | 296 | | SECTION 16. Section 574.036(e), Health and Safety Code, is |
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293 | 297 | | amended to read as follows: |
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294 | 298 | | (e) The judge may enter an order: |
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295 | 299 | | (1) committing the person to a mental health facility |
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296 | 300 | | for inpatient care if the trier of fact finds that the person meets |
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297 | 301 | | the commitment criteria prescribed by Section 574.034(a) or |
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298 | 302 | | 574.035(a); or |
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299 | 303 | | (2) committing the person to outpatient mental health |
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300 | 304 | | services if the trier of fact finds that the person meets the |
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301 | 305 | | commitment criteria prescribed by Section 574.0345(a) [574.034(b)] |
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302 | 306 | | or 574.0355(a) [574.035(b)]. |
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303 | 307 | | SECTION 17. Sections 574.037(a), (b-2), and (c-2), Health |
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304 | 308 | | and Safety Code, are amended to read as follows: |
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305 | 309 | | (a) The court, in an order that directs a patient to |
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306 | 310 | | participate in outpatient mental health services, shall designate |
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307 | 311 | | the person identified under Section 574.0125 as responsible for |
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308 | 312 | | those services or may designate a different person if necessary. |
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309 | 313 | | The person designated must be the facility administrator or an |
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310 | 314 | | individual involved in providing court-ordered outpatient |
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311 | 315 | | services. A person may not be designated as responsible for the |
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312 | 316 | | ordered services without the person's consent unless the person is |
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313 | 317 | | the facility administrator of a department facility or the facility |
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314 | 318 | | administrator of a community center that provides mental health |
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315 | 319 | | services: |
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316 | 320 | | (1) in the region in which the committing court is |
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317 | 321 | | located; or |
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318 | 322 | | (2) in a county where a patient has previously |
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319 | 323 | | received mental health services. |
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320 | 324 | | (b-2) The person responsible for the services shall submit |
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321 | 325 | | the program to the court before the hearing under Section 574.0345 |
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322 | 326 | | or 574.0355 [574.034 or 574.035] or before the court modifies an |
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323 | 327 | | order under Section 574.061, as appropriate. |
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324 | 328 | | (c-2) A court may[, on its own motion,] set a status |
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325 | 329 | | conference in accordance with Section 574.0665 [with the person |
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326 | 330 | | responsible for the services, the patient, and the patient's |
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327 | 331 | | attorney]. |
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328 | 332 | | SECTION 18. Sections 574.061(a), (b), (c), (d), (e), and |
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329 | 333 | | (h), Health and Safety Code, are amended to read as follows: |
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330 | 334 | | (a) The facility administrator of a facility to which a |
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331 | 335 | | patient is committed for inpatient mental health services, not |
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332 | 336 | | later than the 30th day after the date the patient is committed to |
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333 | 337 | | the facility, shall assess the appropriateness of transferring the |
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334 | 338 | | patient to outpatient mental health services. The facility |
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335 | 339 | | administrator may recommend that [may request] the court that |
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336 | 340 | | entered the commitment order [to] modify the order to require the |
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337 | 341 | | patient to participate in outpatient mental health services. |
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338 | 342 | | (b) A [The] facility administrator's recommendation under |
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339 | 343 | | Subsection (a) [request] must explain in detail the reason for the |
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340 | 344 | | recommendation [request]. The recommendation [request] must be |
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341 | 345 | | accompanied by a supporting certificate of medical examination for |
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342 | 346 | | mental illness signed by a physician who examined the patient |
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343 | 347 | | during the seven days preceding the recommendation [request]. |
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344 | 348 | | (c) The patient shall be given notice of a facility |
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345 | 349 | | administrator's recommendation under Subsection (a) [the request]. |
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346 | 350 | | (d) On request of the patient or any other interested |
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347 | 351 | | person, the court shall hold a hearing on a facility |
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348 | 352 | | administrator's recommendation that the court modify the |
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349 | 353 | | commitment order [the request]. The court shall appoint an |
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350 | 354 | | attorney to represent the patient at the hearing and shall consult |
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351 | 355 | | with the local mental health authority before issuing a decision. |
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352 | 356 | | The hearing shall be held before the court without a jury and as |
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353 | 357 | | prescribed by Section 574.031. The patient shall be represented by |
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354 | 358 | | an attorney and receive proper notice. |
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355 | 359 | | (e) If a hearing is not requested, the court may make a [the] |
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356 | 360 | | decision regarding a facility administrator's recommendation based |
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357 | 361 | | on: |
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358 | 362 | | (1) [solely from] the recommendation; |
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359 | 363 | | (2) [request and] the supporting certificate; and |
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360 | 364 | | (3) consultation with the local mental health |
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361 | 365 | | authority concerning available resources to treat the patient. |
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362 | 366 | | (h) A modified order may [not] extend beyond the term of the |
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363 | 367 | | original order, but may not exceed the term of the original order by |
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364 | 368 | | more than 60 days. |
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365 | 369 | | SECTION 19. Subchapter E, Chapter 574, Health and Safety |
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366 | 370 | | Code, is amended by adding Section 574.0665 to read as follows: |
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367 | 371 | | Sec. 574.0665. STATUS CONFERENCE. A court on its own motion |
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368 | 372 | | may set a status conference with the patient, the patient's |
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369 | 373 | | attorney, and the person designated to be responsible for the |
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370 | 374 | | patient's court-ordered outpatient services under Section 574.037. |
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371 | 375 | | SECTION 20. Section 574.069(e), Health and Safety Code, is |
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372 | 376 | | amended to read as follows: |
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373 | 377 | | (e) The court shall dismiss the request if the court finds |
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374 | 378 | | from clear and convincing evidence that the patient continues to |
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375 | 379 | | meet the criteria for court-ordered extended mental health services |
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376 | 380 | | prescribed by Section 574.035 or 574.0355. |
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377 | 381 | | SECTION 21. Section 574.081, Health and Safety Code, is |
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378 | 382 | | amended by amending Subsections (b) and (c) and adding Subsections |
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379 | 383 | | (a-1), (c-1), and (c-2) to read as follows: |
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380 | 384 | | (a-1) Subject to available resources, Subsections (a), (b), |
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381 | 385 | | (c), (c-1), and (c-2) apply to a patient scheduled to be furloughed |
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382 | 386 | | or discharged from: |
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383 | 387 | | (1) a state hospital; or |
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384 | 388 | | (2) any psychiatric inpatient bed funded under a |
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385 | 389 | | contract with the Health and Human Services Commission or operated |
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386 | 390 | | by or funded under a contract with a local mental health authority |
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387 | 391 | | or a behavioral mental health authority. |
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388 | 392 | | (b) The physician shall prepare the plan as prescribed by |
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389 | 393 | | Health and Human Services Commission [department] rules and shall |
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390 | 394 | | consult the patient and the local mental health authority in the |
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391 | 395 | | area in which the patient will reside before preparing the plan. |
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392 | 396 | | The local mental health authority shall be informed of and must |
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393 | 397 | | participate in planning the discharge of a patient [is not required |
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394 | 398 | | to participate in preparing a plan for a patient furloughed or |
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395 | 399 | | discharged from a private mental health facility]. |
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396 | 400 | | (c) The plan must address the patient's mental health and |
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397 | 401 | | physical needs, including, if appropriate: |
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398 | 402 | | (1) the need for outpatient mental health services |
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399 | 403 | | following furlough or discharge; and |
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400 | 404 | | (2) the need for sufficient psychoactive medication on |
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401 | 405 | | furlough or discharge to last until the patient can see a |
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402 | 406 | | physician[; and |
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403 | 407 | | [(2) the person or entity that is responsible for |
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404 | 408 | | providing and paying for the medication]. |
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405 | 409 | | (c-1) Except as otherwise specified in the plan and subject |
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406 | 410 | | to available funding provided to the Health and Human Services |
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407 | 411 | | Commission and paid to a private mental health facility for this |
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408 | 412 | | purpose, a private mental health facility is responsible for |
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409 | 413 | | providing or paying for psychoactive medication and any other |
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410 | 414 | | medication prescribed to the patient to counteract adverse side |
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411 | 415 | | effects of psychoactive medication on furlough or discharge |
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412 | 416 | | sufficient to last until the patient can see a physician. |
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413 | 417 | | (c-2) The Health and Human Services Commission shall adopt |
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414 | 418 | | rules to determine the quantity and manner of providing |
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415 | 419 | | psychoactive medication, as required by this section. The |
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416 | 420 | | executive commissioner may not adopt rules requiring a mental |
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417 | 421 | | health facility to provide or pay for psychoactive medication for |
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418 | 422 | | more than seven days after furlough or discharge. |
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419 | 423 | | SECTION 22. Sections 574.104(a), (b), and (d), Health and |
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420 | 424 | | Safety Code, are amended to read as follows: |
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421 | 425 | | (a) A physician who is treating a patient may, on behalf of |
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422 | 426 | | the state, file an application in a probate court or a court with |
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423 | 427 | | probate jurisdiction for an order to authorize the administration |
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424 | 428 | | of a psychoactive medication regardless of the patient's refusal |
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425 | 429 | | if: |
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426 | 430 | | (1) the physician believes that the patient lacks the |
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427 | 431 | | capacity to make a decision regarding the administration of the |
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428 | 432 | | psychoactive medication; |
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429 | 433 | | (2) the physician determines that the medication is |
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430 | 434 | | the proper course of treatment for the patient; |
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431 | 435 | | (3) the patient is under an order for inpatient mental |
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432 | 436 | | health services under this chapter or other law or an application |
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433 | 437 | | for court-ordered mental health services under Section 574.034, |
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434 | 438 | | 574.0345, [or] 574.035, or 574.0355 has been filed for the patient; |
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435 | 439 | | and |
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436 | 440 | | (4) the patient, verbally or by other indication, |
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437 | 441 | | refuses to take the medication voluntarily. |
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438 | 442 | | (b) An application filed under this section must state: |
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439 | 443 | | (1) that the physician believes that the patient lacks |
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440 | 444 | | the capacity to make a decision regarding administration of the |
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441 | 445 | | psychoactive medication and the reasons for that belief; |
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442 | 446 | | (2) each medication the physician wants the court to |
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443 | 447 | | compel the patient to take; |
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444 | 448 | | (3) whether an application for court-ordered mental |
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445 | 449 | | health services under Section 574.034, 574.0345, [or] 574.035, or |
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446 | 450 | | 574.0355 has been filed; |
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447 | 451 | | (4) whether a court order for inpatient mental health |
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448 | 452 | | services for the patient has been issued and, if so, under what |
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449 | 453 | | authority it was issued; |
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450 | 454 | | (5) the physician's diagnosis of the patient; and |
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451 | 455 | | (6) the proposed method for administering the |
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452 | 456 | | medication and, if the method is not customary, an explanation |
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453 | 457 | | justifying the departure from the customary methods. |
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454 | 458 | | (d) The hearing on the application may be held on the date of |
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455 | 459 | | a hearing on an application for court-ordered mental health |
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456 | 460 | | services under Section 574.034, 574.0345, [or] 574.035, or 574.0355 |
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457 | 461 | | but shall be held not later than 30 days after the filing of the |
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458 | 462 | | application for the order to authorize psychoactive medication. If |
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459 | 463 | | the hearing is not held on the same day as the application for |
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460 | 464 | | court-ordered mental health services under those sections [Section |
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461 | 465 | | 574.034 or 574.035] and the patient is transferred to a mental |
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462 | 466 | | health facility in another county, the court may transfer the |
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463 | 467 | | application for an order to authorize psychoactive medication to |
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464 | 468 | | the county where the patient has been transferred. |
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465 | 469 | | SECTION 23. Section 574.151, Health and Safety Code, is |
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466 | 470 | | amended to read as follows: |
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467 | 471 | | Sec. 574.151. APPLICABILITY. This subchapter applies only |
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468 | 472 | | to a person for whom a motion for court-ordered mental health |
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469 | 473 | | services is filed under Section 574.001, for whom a final order on |
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470 | 474 | | that motion has not been entered under Section 574.034, 574.0345, |
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471 | 475 | | [or] 574.035, or 574.0355 and who requests voluntary admission to |
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472 | 476 | | an inpatient mental health facility: |
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473 | 477 | | (1) while the person is receiving at that facility |
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474 | 478 | | involuntary inpatient services under Subchapter B or under Chapter |
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475 | 479 | | 573; or |
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476 | 480 | | (2) before the 31st day after the date the person was |
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477 | 481 | | released from that facility under Section 573.023 or 574.028. |
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478 | 482 | | SECTION 24. Section 152.00164(b), Human Resources Code, is |
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479 | 483 | | amended to read as follows: |
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480 | 484 | | (b) Before a child who is identified as having a mental |
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481 | 485 | | illness is discharged from the custody of the juvenile board or |
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482 | 486 | | local juvenile probation department under Section 152.00163(b), |
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483 | 487 | | the juvenile board or local juvenile probation department shall |
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484 | 488 | | arrange for a psychiatrist to examine the child. The juvenile board |
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485 | 489 | | or local juvenile probation department shall refer a child |
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486 | 490 | | requiring outpatient psychiatric treatment to the appropriate |
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487 | 491 | | mental health authority. For a child requiring inpatient |
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488 | 492 | | psychiatric treatment, the juvenile board or local juvenile |
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489 | 493 | | probation department shall file a sworn application for |
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490 | 494 | | court-ordered mental health services, as provided in Subchapter C, |
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491 | 495 | | Chapter 574, Health and Safety Code, if: |
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492 | 496 | | (1) the child is not receiving court-ordered mental |
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493 | 497 | | health services; and |
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494 | 498 | | (2) the psychiatrist who examined the child determines |
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495 | 499 | | that the child has a mental illness and the child meets at least one |
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496 | 500 | | of the criteria listed in Section 574.034 or 574.0345, Health and |
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497 | 501 | | Safety Code. |
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498 | 502 | | SECTION 25. Section 244.012(b), Human Resources Code, is |
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499 | 503 | | amended to read as follows: |
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500 | 504 | | (b) Before a child who is identified as mentally ill is |
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501 | 505 | | discharged from the department's custody under Section 244.011(b), |
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502 | 506 | | a department psychiatrist shall examine the child. The department |
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503 | 507 | | shall refer a child requiring outpatient psychiatric treatment to |
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504 | 508 | | the appropriate mental health authority. For a child requiring |
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505 | 509 | | inpatient psychiatric treatment, the department shall file a sworn |
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506 | 510 | | application for court-ordered mental health services, as provided |
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507 | 511 | | in Subchapter C, Chapter 574, Health and Safety Code, if: |
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508 | 512 | | (1) the child is not receiving court-ordered mental |
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509 | 513 | | health services; and |
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510 | 514 | | (2) the psychiatrist who examined the child determines |
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511 | 515 | | that the child is mentally ill and the child meets at least one of |
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512 | 516 | | the criteria listed in Section 574.034 or 574.0345, Health and |
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513 | 517 | | Safety Code. |
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514 | 518 | | SECTION 26. The Supreme Court shall: |
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515 | 519 | | (1) adopt rules to streamline and promote the |
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516 | 520 | | efficiency of court processes under Chapter 573, Health and Safety |
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517 | 521 | | Code; and |
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518 | 522 | | (2) adopt rules or implement other measures to create |
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519 | 523 | | consistency and increase access to the judicial branch for mental |
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520 | 524 | | health issues. |
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521 | 525 | | SECTION 27. The following provisions of the Health and |
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522 | 526 | | Safety Code are repealed: |
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523 | 527 | | (1) Sections 574.034(b), (e), and (f); and |
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524 | 528 | | (2) Sections 574.035(b), (f), and (g). |
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525 | 529 | | SECTION 28. The Health and Human Services Commission is |
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526 | 530 | | required to implement a provision of this Act only if the |
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527 | 531 | | legislature appropriates money specifically for that purpose. If |
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528 | 532 | | the legislature does not appropriate money specifically for that |
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529 | 533 | | purpose, the Health and Human Services Commission may, but is not |
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530 | 534 | | required to, implement a provision of this Act using other |
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531 | 535 | | appropriations available for that purpose. |
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532 | 536 | | SECTION 29. The changes in law made by this Act to Chapter |
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533 | 537 | | 574, Health and Safety Code, apply to a commitment proceeding under |
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534 | 538 | | that chapter that occurs on or after the effective date of this Act, |
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535 | 539 | | regardless of whether conduct of a proposed patient being evaluated |
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536 | 540 | | for that purpose occurred before, on, or after the effective date of |
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537 | 541 | | this Act. |
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538 | 542 | | SECTION 30. The changes in law made by this Act to Article |
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539 | 543 | | 16.22, Code of Criminal Procedure, and Chapter 574, Health and |
---|
540 | 544 | | Safety Code, apply to a proceeding for court-ordered mental health |
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541 | 545 | | services that occurs on or after the effective date of this Act, |
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542 | 546 | | regardless of when an offense with which the defendant is charged |
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543 | 547 | | was committed. |
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544 | 548 | | SECTION 31. This Act takes effect September 1, 2019. |
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